All States Life Ins. Co. v. Steward

5 So. 2d 784, 242 Ala. 258, 1942 Ala. LEXIS 23
CourtSupreme Court of Alabama
DecidedJanuary 22, 1942
Docket3 Div. 366.
StatusPublished
Cited by9 cases

This text of 5 So. 2d 784 (All States Life Ins. Co. v. Steward) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
All States Life Ins. Co. v. Steward, 5 So. 2d 784, 242 Ala. 258, 1942 Ala. LEXIS 23 (Ala. 1942).

Opinion

GARDNER, Chief Justice.

Suit upon a certificate of insurance issued to Alfred C. Steward under the provisions of a group insurance policy issued to W. T. Smith Lumber Company of which said Steward was an employee. The policy contract is to be found upon examination of the provisions of the certificate in connection with those of the “Master Policy” and application therefor, and the individual application of the insured person. Page v. Prudential Insurance Co., 231 Ala. 405, 165 So. 388.

This action is by the widow of said Steward, the beneficiary named in the certificate, and seeks to recover permanent total disability benefits alleged to have accrued because of the total permanent disability of plaintiff’s deceased husband. The provisions of the benefit certificate for the payment of permanent total disability benefits are as follows: “Permanent Total Disability Benefits: Upon due proof that since the payment of the initial premium upon this contract, before a default in the payment of any subsequent premium, and before the anniversary of this contract nearest the sixtieth anniversary of the date of birth, the Insured has, become wholly disabled by *260 bodily injury or disease and will be continuously and wholly prevented thereby for life from engaging in any occupation or employment for wage or profit, the Company will waive the payment of any premiums which may fall due on this contract for such employee during such disability and will pay in full settlement for such Employee under this contract the amount of insurance in force hereunder at the time of the receipt of due proof of such disability in a fixed number of installments chosen by the insured from the following table, the first installment to be paid immediately upon receipt of due proof of such disability.”

And the pertinent provisions of the group policy under the terms of which the certificate was issued are as follows: “Termination of Insurance. In the event any Employee shall, at the time of termination of employment, be wholly disabled, and prevented by bodily injury or disease from engaging in any occupation or employment for wage or profit, premiums being duly paid as provided for hereunder, the Insurance will remain in force as to such Employee during the continuance of such disability for the period of three months from the date upon which the employee ceased to work and thereafter during the continuance of such disability and while this policy shall remain in force until the Employer shall notify the Company to terminate the insurance as to such Employee. Nothing in this paragraph contained shall limit or extend the permanent total Disability Benefit to which an Employee shall become entitled under his certificate.”

The testimony is without material conflict. Insured Steward was an employee of W. T. Smith Lumber Company and as such was entitled to insurance benefits under the group policy, and the beneficiary certificate was issued to him; the premiums were paid to maintain the certificate in force until his employment was terminated, which event occurred near April 1, 1936; at the time of his termination of employment Steward was disabled within the meaning of the certificate and remained so to the date of his death in June, 1939; after the termination of his employment no premiums were paid 'by the insured or by anyone for him, but the policy was maintained in force by payment of the premium on March 1, 1936 until April 10, 1936 and was so in force when his employment terminated by reason of his disability; Steward lived after the termination of his employment in April, 1936 for more than three years, having died June 11, 1939; pursuant to policy provisions the Smith Lumber Company notified appellant insurance company of the termination of employment of insured about May 1st, 1936, and the certificate of insurance was can-celled on appellant’s records on or about May 10, 1936; the group policy was can-celled in January, 1939, and no premiums paid by the Lumber Company on the group policy after that date; no notice of disability was ever furnished to appellant company during the life time of the insured Steward, the first notice being by letter of attorney for appellee dated July 17, 1939 and proofs of claim furnished August 31, 1939.

The foregoing statement should suffice for this case with little discussion to follow. Language of like import as that embraced in the policy contract here sued upon was interpreted as clearly requiring due proof of disability as a condition precedent to the right to recover. Our decisions are uniform to that effect. The question was carefully considered in New England Mut. Life Ins. Co. v. Reynolds, 217 Ala. 307, 116 So. 151, 152, 59 A.L.R. 1075, with citation of a number of supporting authorities. In the Reynolds case it was observed: “The entire structure of the agreement negatives the idea of a self-operating waiver in the event of total disability, but imposes a contractual obligation on the company to waive premiums when ‘due proof’ is furnished. Manifest reasons appear for thus limiting the agreement.”

The conclusion was that furnishing due proof of disability to the insurer was a condition precedent to a waiver of premium payments.

And in McCutchen v. All States Life Ins. Co., 229 Ala. 616, 158 So. 729, 733, the correctness of the holding in the Reynolds case was vigorously assailed and we were asked to recede therefrom. The opinion reviews the authorities and elaborates the discussion. Answering the case as there presented the Court said: “By parity of reasoning, if proof of disability, while the policy is yet in force, is, by plain and unambiguous terms, made one of the things to be performed before the obligation to pay a disability benefit arises, no subsequent insanity or other condition making it impossible to comply will excuse performance. To do so would be to write a new contract.”

Reference was made also to McGifford v. Protective Life Ins. Co., 227 Ala. 588, 151 *261 So. 349, 352, where the Court had again reviewed the Reynolds case with the observation: “In that case we held, under a life policy containing a provision waiving premiums, in the event of permanent total disability of the insured on being furnished due proof thereof, that the furnishing of such proof of disability constituted a condition precedent to waiver of premium, notwithstanding the fact that the insured was insane on the date the premium became due and continued in that state until his death.”

This conclusion was rested upon the principle that where the language of the contract is plain and unambiguous, there is no room for construction and it is the duty of the court to enforce it as written.

In New York Life Ins. Co. v. Mason, 236 Ala. 44, 180 So. 775, and New York Life Ins. Co. v. Sinquefield, 231 Ala. 185, 163 So. 812, containing language very similar to that here involved and of like import with that in the Reynolds case, the holdings were to the same effect, that is the furnishing of due proof was a condition precedent. In the Mason case [236 Ala. 44, 180 So. 778], referring to that of New York Life Ins. Co. v. Sinquefield, supra, it was said: “We held in that case that the furnishing of due proof of disability constituted a condition precedent to any obligation on the part of the insurer to pay disability benefits.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Brown MacH. Works & Supply Co. v. Ins. Co. of North Am.
659 So. 2d 51 (Supreme Court of Alabama, 1995)
Occidental Life Ins. Co. of California v. Huff
156 So. 2d 380 (Alabama Court of Appeals, 1963)
Alldredge v. Security Life Trust Company
92 So. 2d 26 (Supreme Court of Alabama, 1956)
Provident Life Accident Ins. Co. v. Pressley
64 So. 2d 618 (Alabama Court of Appeals, 1953)
Booker T. Washington Ins. Co. v. Crocker
56 So. 2d 353 (Alabama Court of Appeals, 1951)
Life Ins. Co. of Virginia v. Hanback
35 So. 2d 696 (Supreme Court of Alabama, 1948)
Mutual Life Ins. Co. v. Brunson
20 So. 2d 214 (Supreme Court of Alabama, 1944)

Cite This Page — Counsel Stack

Bluebook (online)
5 So. 2d 784, 242 Ala. 258, 1942 Ala. LEXIS 23, Counsel Stack Legal Research, https://law.counselstack.com/opinion/all-states-life-ins-co-v-steward-ala-1942.